Application Form for Thenon-Teaching Post Of

Aylesbury High School, Walton Road, Aylesbury, Bucks HP21 7SX
Telephone: 01296 388222
Fax:01296 388200
Email:
Website:

Application form for thenon-teaching post of:

(Please complete the title of the post for which you are applying)

SECTION 1

PERSONAL DETAILS
Surname………………………………………………………………………..
Previous surname(s)……………………………………………………….
Address………………………………………………………………………….
(Town)…………………………………………………………………………..
(County)…………………………………………………………………………
(Postcode)……………………………………………………………………… / Forename(s)……………………………………………………………………
Title (Mr, Mrs, Miss, Ms, Dr, other)……………………………………
Telephone No (Home)……………………………………………………..
Telephone No (Work)………………………………………………………
May we call you at work…………………………………………………..
Telephone No (Mobile)…………………………………………………….

Email.…………………………………………………………………………….

SECTION 2

EDUCATION
Institution(s) attended / Dates / Qualifications gained
Please include any higher degrees in this section

SECTION 3

PROFESSIONAL TRAINING AND DEVELOPMENT (Please include details of any relevant training or staff development)
Institution Attended / Course / Date
INTERESTS (e.g. hobbies, sports, voluntary work)

SECTION 4

CURRENT/LAST EMPLOYMENT
Employer’s Name………………………………………………………………..
Employer’s Address……………………………………………………………..
(Town)………………………………………………………………………………
(County)…………………………………………………………………………….
(Postcode)…………………………………………………………………………. / Position………………………………………………………………………
Grade/Salary……………………………………………………………….
Date Commenced………………………………………………………..
Date of Leaving if applicable…………………………………………
Period of Notice…………………………………………………………..
Brief description of duties/responsibilities:
Reason(s) for leaving:
Number of additional sheets used…………
OTHER PREVIOUS EMPLOYMENT (chronologically listed) Please account for any gaps in employment.
Employer’s Name & Address / Dates / Position / Brief outline of responsibilities / Reasons for leaving
Number of additional sheets used…………

SECTION 5 PERSONAL STATEMENT

YOUR PERSONAL STATEMENT SHOULD PROVIDE EVIDENCE/EXAMPLES OF YOUR ABILITY TO CARRY OUT THE JOB DESCRIPTION AND ANY OTHER RELEVANT INFORMATION TO SUPPORT YOUR APPLICATION.

Please use a separate sheet if required.

Number of additional sheets used…………

SECTION 6

REFEREES

Please give the names, addresses and occupations of two referees, one of whom should be your present or last employer

First Referee
Name……………………………………………………………………………..
Address………………………………………………………………………….
(Town)…………………………………………………………………………..
(County)…………………………………………………………………………
(Postcode)………………………………………………………………………
Email address…………………………………………………………………
Occupation…………………………………………………………………….. / Second Referee
Name……………………………………………………………………………..
Address………………………………………………………………………….
(Town)…………………………………………………………………………..
(County)…………………………………………………………………………
(Postcode)……………………………………………………………………..
Email address…………………………………………………………………
Occupation……………………………………………………………………..
Can references be taken up prior to interview?
Referee 1 Y/NReferee 2 Y/N
CRIMINAL CONVICTIONS OR CAUTIONS
Do you have any unspent convictions, cautions, reprimands or warnings? Yes  No 
Because we are a school you do not have the right to keep from us details of previous criminal convictions or cautions, except for those offences which are both ‘spent’ and are listed on the Disclosure and Barring Service website (known as ‘protected’ spent convictions). A check as to the existence and content of a criminal record will be requested from the Disclosure and Barring Service after a person has been selected for appointment. Different levels of disclosure can be provided, according to the type of work applied for. The job for which you have applied comes under the category of having contact with children and, therefore, necessitates an Enhanced Disclosure.The Disclosure will contain details of all convictions, cautions, reprimands or warnings on record unless ‘protected’. Refusal to agree to a check being made could disqualify you from being considered for the appointment.
Please,therefore,give details of all criminal convictions that you may have which are not protected and spent. The disclosure of a criminal record may not necessarily prevent you from being appointed. The nature of the offence, how long ago it took place, your age at the time and any other relevant factors may be considered when a decision is made. Please note that some convictions are never considered ‘spent’ under the terms of the Act.
The legal statement of your rights described above is: Under the Rehabilitation of Offenders Act 1974, you have the right not to disclose details of ‘spent’ convictions. However, for certain jobs, employers are allowed to ask about these offences. The Rehabilitation of Offenders Act 1974 (Exception Amendment) Order 1986 sets out details of all jobs to which this applies and the job you have applied for is included in the list. The Amendments to the Exceptions Order 1975 (2013) provide that certain spent convictions and cautions are ‘protected’ and are not subject to disclosure to employers, and cannot be taken into account.
Please give details of ALL convictions, cautions, reprimands or warnings (whether spent or not) unless they are listed on the Disclosure and Barring Service website as ‘protected’.
If you would prefer to give details directly to the Headteacher, please indicate that in the space above email at the same time as submitting this form.
Number of additional sheets used…………
OTHER DECLARATIONS
1Are you related to any member of the governing body (any canvassing direct or indirect will disqualify your application)?
Yes  No 
If yes, please give details......
......
......
......
2To the best of my knowledge and belief, the information on this application form is correct.
Signed......
Date......
Additional Information
To comply with the Asylum and Immigration legislation during the section process you will be required to give evidence of your ability to work in the UK. Do you need a work permit to work in the UK? Y/N
Under the Working Time Directive, you should not work more than 48 hours per week. Do you plan to undertake work for other employers, which would cause a breach of these regulations? Y/N
If you have a disability please let us know of any special arrangements you may need to make if you are short listed for interview:

Please state where you saw the advertisement for this post:……………………………………………………………………………………..

Thank you for your interest in Aylesbury High School. We will endeavour to contact all applicants to notify them of the outcome of their application. However, if you have not heard from us within 3 weeks of the closing date, you must assume that your application has been unsuccessful on this occasion.

Please email your completed form to or send to The Headteacher, Aylesbury High School, Walton Road, Aylesbury, Bucks HP21 7SX. Thank you.